Breast Reduction-Surgical

Breast reduction can these days be performed by liposuction alone at times, or by the classic method of making incisions, removing breast tissue and excess skin, and reshaping and lifting the breast. Reducing the breast by incisions and surgical removal of excess tissue is the embodiment of the art and science of plastic surgery. The operation is very geometric and careful planning and measurements can produce a breast size and shape that meets your expectations. There are numerous different techniques and resulting incision lines that must be carefully planned and utilized to be able to give you a reduced, lifted, and beautiful result with a minimum of visible incision lines. Dr. Romano uses the periareolar, crescent, lollipop, vertical, boat anchor, inverted T, wise pattern, French pattern, and other techniques as they specifically apply to your anatomy and expectations. Patients recover quickly and are should expect to return to everything, as if they never had surgery, by three weeks.

THE PREOPERATIVE FEATURES

• Enlarged, heavy, sagging breasts often associated with breast pain, shoulder pain, back pain, nipple numbness, and shoulder grooves from heavy bra straps.
• Nipples are usually below the breast crease.
• Most of the breast volume is in the sagging lower portion of the breast.
  Large nipples and areola.
• Desire for a more youthful appearance to the breasts.
• Desire for more comfortable, less painful breasts and better fit into clothing.

THE PROCEDURE

• General anesthesia can be used and it takes about four hours.
• Incisions depend on the size and contour of the breast and are slightly conspicuous. They can often be hidden around the areole and in the lower breast crease. They tend to heal slightly widened.
• A careful exam of the breast tissue is undertaken to make sure no abnormalities are present.
• Excess skin and breast gland is removed and tucked and lifted to a higher position on the chest wall.
• The nipples and areola are elevated to a higher position and sometimes reduced in diameter.
• The only dressing is a surgical bra.
• Drains are used for the first two days, and these are removed painlessly in the office.
• This can be combined with other surgeries.

THE RECOVERY

• You can go home after several hours or stay overnight.
• You can shower on the second day after surgery.
• Mild pain for the first two days that is mostly gone by the third day and is easily controlled by medications.
• You will feel very groggy for the first two days and weak for about ten days.
• Swelling is mild to moderate for the first week after which it rapidly disappears.
• Usually only very mild or no bruising.
• Breasts are square shaped for the first three weeks then settle into a very normal rounded position.
• Resume many activities within the first week, and most by at least three weeks.
• No stitches to remove. They are all dissolvable.
• Off of work for five to seven days.

THE RESULT

• Elevated, full, and beautiful size and shape to the breasts.
• Very natural result that just gets better in time. Able to breast feed later, under most circumstances.
• Softness and natural bounce that persists. Normal sensation to the nipples and skin.
• Much better proportion and fit into clothing.
• Ability to exercise and engage in strenuous activities much more comfortably.
• Natural and presentable appearance right away that just gets better over the next three to six months.

For before and after images of this procedure click here

Please call or contact the office for any further information or to schedule an appointment.